Enterolith Migration From a Jejunal Diverticulum Resulting in Jejunal Perforation

Proximal jejunal enteroliths, a rare form of small bowel pathology, involve calculi formation within the proximal ileum, leading to complications such as bowel obstruction and perforation. Due to their rarity and nonspecific presentation, enteroliths pose diagnostic and management challenges for clinicians. A 73-year-old male with a history of small intestinal bacterial overgrowth was admitted with acute abdominal pain, small bowel obstruction, and hypovolemic haemorrhagic shock. Despite initial stabilization, worsening symptoms led to a CT scan revealing small bowel perforation and enterolith-induced occlusion. Surgery confirmed purulent peritonitis, necessitating resection of the affected bowel segment. Enteroliths can form in diverticula due to bowel content stagnation, causing symptomatic obstruction or perforation. Management typically involves surgical intervention. The prognosis depends on timely diagnosis and treatment to prevent severe complications. Proximal jejunal enteroliths, though rare, should be considered in patients with small bowel obstruction symptoms, particularly those with a history of diverticulosis. Early recognition and appropriate management are crucial for favourable outcomes.